摘要
目的:从卫生体系的角度系统分析影响糖尿病患者治疗依从性的因素,并提出改善建议。方法:采用焦点小组讨论法收集资料,运用Nvivo11及主题框架法进行定性资料的编码和分析。结果:影响糖尿病患者治疗依从性的因素包括:患者的知识水平较低、健康意识薄弱、生活习惯和经济状况较差;卫生服务提供者的知识技能缺乏、糖尿病管理服务不足以及各机构间合作欠缺;基本药物的限制和不完善的医疗保险报销政策。结论:社区糖尿病管理应更加重视卫生系统中关键要素的调整,通过改善服务的连续性和协调性来提高糖尿病患者的治疗依从性。
Objective:To analyze the factors influencing the treatment compliance of DM2 patient from the perspectives of community health care providers and to give some suggestions on improving the performance of community-based diabetes management.Methods:Eight focus group interviews were used for data collection,and we use the Nvivo11 and thematic framework analysis to code and analyze qualitative data.Results:The factors affecting the treatment compliance of T2DM patients were categorized into patient-related factors,provider-related factors and health system-related factors.Patient-related factors included insufficient knowledge,bad health awareness and life habits and poor economic status of patients.Provider-related factors included the lack of knowledge and skills,insufficient provision of diabetes management services and poor service coordination between providers.Health system-related factors included basic drug use restriction and incorrect reimbursement of health insurance.Conclusion:Community-based diabetes management should pay more attention to adjustment of the key elements in health system which may be useful for improving the continuity and coordination of service.
作者
刘雅琪
姚静静
孙强
王海鹏
Liu Yaqi(School of Medicine and Health Management,Shandong University,Ji’nan,250012)
出处
《医学与社会》
北大核心
2019年第2期112-115,124,共5页
Medicine and Society
基金
山东省自然科学基金青年项目
编号为ZR2016GQ02
山东省疾病预防控制中心自主项目
编号为SK180022
关键词
治疗依从性
糖尿病
患者
定性研究
基层卫生服务提供者
山东
Treatment Compliance
Diabetes Mellitus
Qualitative Research
Primary Health Care Provider
Shandong